Prognosticating the effectiveness of physiotherapeutic spinal mobilization with the centralization phenomenon of symptoms.

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What is centralization?

Centralization refers to the abolition of distal pain emanating from the spine in response to therapeutic exercises.

According to a review article in Manual Therapy 2004 Aug;9(3):134-143; authored by Aina A et al focused on prognostic significance along with prevalence and reliability of assessment. The prevalence rate of pure or partial centralization was 70% in 731 sub-acute back patients, and 52% in 325 chronic back patients.

Points to remember:

1. It is a symptom response that can be reliably assessed during examination.

2. Centralization is consistently associated with a range of good outcomes, and failure to centralize with a poor outcome.

3. Centralization appears to identify a substantial sub-group of spinal patients; it is a clinical phenomenon that can be reliably detected, and is associated with a good prognosis.
4. It is recommended that centralization should be monitored in the examination and reexamination of spinalpatients.

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